Individual provider Active NPI

Rachel Lauren Burgess, APRN, FNP-C

  • Family Nurse Practitioner
  • Valliant, OK
National Provider Identifier
1235637893
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
99969 Issued in OK
Practice address
508 E Wilson St
Valliant, OK 74764-9115
Phone
(580) 933-9025
Fax
(833) 382-0111
NPI assigned
Jan 30, 2018
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 99969 OK Primary

Addresses

Primary practice location

508 E Wilson St
Valliant, OK 74764-9115

Mailing address

101 E Terri Dr
Valliant, OK 74764-6801
Phone (580) 933-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180323000381 OK Practitioner - Nurse Practitioner 9234491622 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

508 E Wilson St
Valliant, OK 74764-9115
Phone (580) 933-9025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Burgess Family Healthcare, LLC CurrentSince Feb 26, 2018 Accepting new patients
Burgess Imaging, LLC CurrentSince Aug 25, 2022 Accepting new patients

Locations

101 E Terri Dr
Valliant, OK 74764
Phone (580) 933-9025

508 E Wilson St
Valliant, OK 74764
Phone (580) 743-6553

508 E Wilson St
#B
Valliant, OK 74764
Phone (833) 581-7433

Interoperability endpoints

  • Direct secure messaging: burgessfamilyhealthcare.rachelburgess@142191.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1235637893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E TERRI DR",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747646801",
            "telephone_number": "580-933-9024",
            "fax_number": "580-933-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E WILSON ST",
            "city": "VALLIANT",
            "state": "OK",
            "postal_code": "747649115",
            "telephone_number": "580-933-9025",
            "fax_number": "833-382-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "RACHEL",
        "middle_name": "LAUREN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "99969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valliant, OK

Sources for this page

Verify at the official NPI Registry.